a Department of Psychiatry , University of Florida College of Medicine , Gainesville , Florida , USA.
b University of South Florida Morsani College of Medicine , Tampa , Florida , USA.
Subst Abus. 2017 Oct-Dec;38(4):401-406. doi: 10.1080/08897077.2017.1355871. Epub 2017 Aug 23.
Medical student wellness has emerged as an important issue in medical education. The purpose of the present study was to obtain a comprehensive assessment of substance use, psychological distress, and help-seeking among male and female medical students in order to identify targets for continued intervention efforts.
Medical students from all 9 medical schools in the state of Florida were invited via e-mail and/or announcements to complete an anonymous online questionnaire assessing their well-being. Of 5053 matriculating medical students, 1137 (57.1% female) responded to the questionnaire. Descriptive statistics, t tests, and chi-square analyses were computed using SPSS 20.
Over 70% of students acknowledged binge drinking, with men reporting higher frequency than women (χ = 13.90, P = .003), and 22.7% (n = 201) reported marijuana use during medical school, with higher rates (χ = 9.50, P = .02) among men (27.0%, n = 99) than women (18.9%, n = 93). A significant minority of students reported nonmedical use of prescription stimulants and prescription opioids. In addition, 3.3% of male students (n = 12) compared with 0.6% of female students (n = 3) reported problematic drug use. Further, almost 2/3 of respondents reported decreased psychological health since beginning medical school, with women noting greater reductions (χ = 12.39, P = .05) and higher levels of stress (χ = 16.30, P = .003). Over 10% of students (n = 102) endorsed "thoughts of committing suicide" during medical school, and 70.1% felt they would benefit from mental healthcare (79.3% of women vs. 59.6% of men; χ = 41.94, P < .001), although only 39.8% accessed help.
Despite efforts to address medical student wellness, students continue to report concerning levels of psychological distress, suicidal ideation, and substance use. More work is needed to effectively address medical student mental health and well-being.
医学生的健康已成为医学教育中的一个重要问题。本研究的目的是全面评估男性和女性医学生的物质使用、心理困扰和寻求帮助情况，以便确定需要进一步干预的目标。
通过电子邮件和/或公告邀请佛罗里达州所有 9 所医学院的医学生完成一份匿名在线问卷，评估他们的健康状况。在 5053 名入学的医学生中，有 1137 名（57.1%为女性）回答了问卷。使用 SPSS 20 计算描述性统计数据、t 检验和卡方分析。
超过 70%的学生承认有狂饮行为，男性报告的频率高于女性（χ = 13.90，P =.003），22.7%（n = 201）在医学院期间使用大麻，男性（χ = 9.50，P =.02）的使用率较高（27.0%，n = 99），而女性（18.9%，n = 93）的使用率较低。相当一部分学生报告说他们非医疗用途使用处方兴奋剂和处方阿片类药物。此外，3.3%的男学生（n = 12）与 0.6%的女学生（n = 3）相比报告了有问题的药物使用。此外，近 2/3的受访者报告称，自开始学医以来，他们的心理健康状况有所下降，女性的降幅更大（χ = 12.39，P =.05），压力水平更高（χ = 16.30，P =.003）。超过 10%的学生（n = 102）在医学院期间表示“有自杀念头”，70.1%的学生认为他们需要心理健康护理（女性为 79.3%，男性为 59.6%；χ = 41.94，P <.001），但只有 39.8%的学生寻求帮助。
尽管已经努力解决医学生的健康问题，但学生们仍报告称存在令人担忧的心理困扰、自杀意念和物质使用水平。需要做更多的工作来有效解决医学生的心理健康和福祉问题。
